SUSELY GUEVARA FNP-BC
NPI 1962049452
Nurse Practitioner - Family in Chicago, IL

Active since December 04, 2019PECOS EnrolledAccepts Medicare Assignment
3600 W FULLERTON AVE, CHICAGO, IL 60647(773) 782-2800 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2020, Sep 21, 2020, Dec 4, 2019 (3 updates tracked since 2019).

About Susely Guevara Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSELY GUEVARA FNP-BC (NPI 1962049452) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.020134) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962049452
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSELY GUEVARACredential: FNP-BC
Location Address3600 W FULLERTON AVEChicago, IL 60647-2319
Mailing Address4149 W 26th StChicago, IL 60623-4314 · (773) 410-7366
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 4, 2019
Last NPPES UpdateSeptember 29, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
NPI 1962049452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.020134
3600 W FULLERTON AVE, Chicago, IL 60647

Secondary Practice Location 1

Location 14149 W 26th StChicago, IL 60623-4314 · Phone (773) 542-1111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susely Guevara Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779997556
PECOS Enrollment IDI20210208001000
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3600 W FULLERTON AVE
CHICAGO, IL 60647
Social Worker (Clinical)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Midwife
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Case Manager/Care Coordinator
3600 W FULLERTON AVE
CHICAGO, IL 60647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susely Guevara's NPI number?

The NPI number for Susely Guevara is 1962049452. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Where is Susely Guevara located?

Susely Guevara practices at 3600 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 782-2800.

What is Susely Guevara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susely Guevara enrolled in Medicare?

Yes. Susely Guevara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susely Guevara accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Susely Guevara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susely Guevara was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.